@wews I understand your position. For me, AF was not acceptable, mostly because I am symptomatic (people told me I looked grey after my first failed PVI, and I was both anxious and feeling unwell all the time. It was hard to relax most of the time because I always felt like pacing). The other part of it being unacceptable, for me personally, was that I had read and devoured all I could find, even on published tech papers and journals, and learned that the progression of AF should be carefully managed and slowed so that the heart doesn't enter permanent AF and eventually succumb to heart failure, which is a distinct possibility. Echocardiograms already showed moderate atrial enlargement, which is not desirable.

So, depending on your own personal physiology, your response to being in AF frequently/most of the time, your motivation to have it stemmed, etc., a fourth time is not out of the question....not by a long shot. I know people who have had six or more ablations until the right person finally got 'er done. As in, got the right places zapped.